Thanks for clarifying the previous info...
At my place of employment we service approx. 300 LTC facilities and often place midlines in pt's who have less than 4 weeks of Vanco left.
If however, the pt has > 4 weeks, we place a PICC line.
The midline catheters work quite well for this therapy, and even though Vancomycin is a vesicant ( pH of 2.5 - 4.5) we aren't seeing the phlebitis & other complications that are usually associated with catheters less than
3" in length.
INS stated in their latest issue of Newsline..
"Some medications (like Vanco) that meet the criteria for CVC access devices can and are given on a short term basis via peripheral or midline IV catheters."